Evidence map›Paper›PMID 34772996›Full record

Trial reportScientific reports2021

Correlation between brain function and ADHD symptom changes in children with ADHD following a few-foods diet: an open-label intervention trial.

Saartje Hontelez, Tim Stobernack, Lidy M Pelsser, Peter van Baarlen, Klaas Frankena, Martine M Groefsema, Michiel Kleerebezem, Rob Rodrigues Pereira, Elbrich M Postma, Paul A M Smeets and 3 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. [The microbiota-gut-brain axis in childhood attention-deficit/hyperactivity disorder: mechanisms and therapeutic advances].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
  6. Article
  7. Review
  8. Review
  9. Article
  10. Microbiome: A Key Regulator of Body-Brain Interactions.Advances in experimental medicine and biology · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 2 countries.

Saartje Hontelez *Host-Microbe Interactomics, Wageningen University and Research, De Elst 1, 6708 WD, Wageningen, The Netherlands. ADHD@wur.nl.
Tim Stobernack *Host-Microbe Interactomics, Wageningen University and Research, De Elst 1, 6708 WD, Wageningen, The Netherlands.
Lidy M PelsserADHD Research Centre, Eindhoven, The Netherlands.
Peter van BaarlenHost-Microbe Interactomics, Wageningen University and Research, De Elst 1, 6708 WD, Wageningen, The Netherlands.
Klaas FrankenaAdaptation Physiology, Wageningen University and Research, Wageningen, The Netherlands.
Martine M GroefsemaBehavioural Science Institute, Radboud University, Nijmegen, The Netherlands.
Michiel KleerebezemHost-Microbe Interactomics, Wageningen University and Research, De Elst 1, 6708 WD, Wageningen, The Netherlands.
Rob Rodrigues PereiraMedical Centre Kinderplein, Rotterdam, The Netherlands.
Elbrich M PostmaDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, The Netherlands.
Paul A M SmeetsDivision of Human Nutrition and Health, Wageningen University and Research, Wageningen, The Netherlands.
Marion A StopyraDepartment of General Internal Medicine and Psychosomatics, University Hospital Heidelberg, Heidelberg, Germany.
Marcel P ZwiersDonders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, The Netherlands.
Esther AartsDonders Institute for Brain, Cognition and Behaviour, Centre for Cognitive Neuroimaging, Radboud University, Nijmegen, The Netherlands.
Wageningen University & Research · NLRadboud University Nijmegen · NLHeidelberg University · DEHolst Centre (Netherlands) · NL

Funding

European Research Council ERC_StG2019_852189
6 · The paper itself

Abstract

Research into the effect of nutrition on attention-deficit hyperactivity disorder (ADHD) in children has shown that the few-foods diet (FFD) substantially decreases ADHD symptoms in 60% of children. However, the underlying mechanism is unknown. In this open-label nutritional intervention study we investigated whether behavioural changes after following an FFD are associated with changes in brain function during inhibitory control in 79 boys with ADHD, aged 8-10 years. Parents completed the ADHD Rating Scale before (t1) and after the FFD (t2). Functional magnetic resonance imaging (fMRI) scans were acquired during a stop-signal task at t1 and t2, and initial subject-level analyses were done blinded for ARS scores. Fifty (63%) participants were diet responders, showing a decrease of ADHD symptoms of at least 40%. Fifty-three children had fMRI scans of sufficient quality for further analysis. Region-of-interest analyses demonstrated that brain activation in regions implicated in the stop-signal task was not associated with ADHD symptom change. However, whole-brain analyses revealed a correlation between ADHD symptom decrease and increased precuneus activation (p

Indexed as

DietAttention Deficit Disorder with HyperactivityBrainChildComorbidityFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleSymptom Assessment

Identifiers

PMID34772996
PMCPMC8589974
OpenAlexW3213704578

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.